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PEE DEE MENTAL HEALTH
NPI 1043636046
Clinic/Center - Mental Health (Including Community Mental Health Center) in Lake City, SC

Active since March 14, 2014
675 N MATTHEWS RD, LAKE CITY, SC 29560(843) 394-7600 Get Directions Write a Review

NPPES record last updated: March 14, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pee Dee Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEE DEE MENTAL HEALTH (NPI 1043636046) is a healthcare organization registered as a mental health (including community mental health center) in Lake City, South Carolina and active in the NPI registry since March 2014. The organization lists Robin Windham, Ar Supervisor, as its authorized official.

NPPES Registry Identity

NPI1043636046
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NamePEE DEE MENTAL HEALTH
Location Address675 N MATTHEWS RDLake City, SC 29560-7027
Mailing Address4 Jessamine StAndrews, SC 29510-4414
Phone(843) 394-7600
Organization SubpartYesParent: Soth Carolina Department Of Mental Health
Authorized OfficialRobin WindhamAr Supervisor · (843) 629-2483
Enumeration DateMarch 14, 2014
✔ NPI 1043636046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
675 N MATTHEWS RD, Lake City, SC 29560
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Other Identifiers 2

Medicaid376241SC
Medicare UPIN3337SC

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. NORMAN G. CREIGHTON MS
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
MICHELLE MOSES
Counselor
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7419
PEE DEE MENTAL HEALTH CENTER
Community/Behavioral Health
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
VICKIE DENSIE REDDEN
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 661-4879
MRS. CLARA GLASSCHO RN,C
Registered Nurse (Psychiatric/Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
T'AUNA HUDSON
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600
JOANN BOARDS
Counselor
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7419
LATORIA BLAKE
Counselor (Mental Health)
675 N MATTHEWS RD
LAKE CITY, SC 29560
Florence County (843) 394-7600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pee Dee Mental Health's NPI number?

The NPI number for Pee Dee Mental Health is 1043636046. It was assigned to this organization in the NPPES registry on March 14, 2014.

Where is Pee Dee Mental Health located?

Pee Dee Mental Health is located at 675 N Matthews Rd, Lake City, SC 29560. The listed phone number is (843) 394-7600.

What is Pee Dee Mental Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Pee Dee Mental Health was last updated on March 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.